Human Development Index and its association with staff spiritual care provision: a Middle Eastern oncology study.
Human Development Index
Middle East
Oncology
Palliative care
Prayer
Spiritual care
Journal
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
25
08
2018
accepted:
05
03
2019
pubmed:
22
3
2019
medline:
17
10
2019
entrez:
22
3
2019
Statut:
ppublish
Résumé
Although staff spiritual care provision plays a key role in patient-centered care, there is insufficient information on international variance in attitudes toward spiritual care and its actual provision. A cross-sectional survey of the attitudes of Middle Eastern oncology physicians and nurses toward eight examples of staff provision of spiritual care: two questionnaire items concerned prayer, while six items related to applied information gathering, such as spiritual history taking, referrals, and encouraging patients in their spirituality. In addition, respondents reported on spiritual care provision for their last three advanced cancer patients. Seven hundred seventy responses were received from 14 countries (25% from countries with very high Human Development Index (HDI), 41% high, 29% medium, 5% low). Over 63% of respondents positively viewed the six applied information gathering items, while significantly more, over 76%, did so among respondents from very high HDI countries (p value range, p < 0.001 to p = 0.01). Even though only 42-45% overall were positively inclined toward praying with patients, respondents in lower HDI countries expressed more positive views (p < 0.001). In interaction analysis, HDI proved to be the single strongest factor associated with five of eight spiritual care examples (p < 0.001 for all). Significantly, the Middle Eastern respondents in our study actually provided actual spiritual care to 47% of their most recent advanced cancer patients, compared to only 27% in a parallel American study, with the key difference identified being HDI. A country's development level is a key factor influencing attitudes toward spiritual care and its actual provision. Respondents from lower ranking HDI countries proved relatively more likely to provide spiritual care and to have positive attitudes toward praying with patients. In contrast, respondents from countries with higher HDI levels had relatively more positive attitudes toward spiritual care interventions that involved gathering information applicable to patient care.
Sections du résumé
BACKGROUND
BACKGROUND
Although staff spiritual care provision plays a key role in patient-centered care, there is insufficient information on international variance in attitudes toward spiritual care and its actual provision.
METHODS
METHODS
A cross-sectional survey of the attitudes of Middle Eastern oncology physicians and nurses toward eight examples of staff provision of spiritual care: two questionnaire items concerned prayer, while six items related to applied information gathering, such as spiritual history taking, referrals, and encouraging patients in their spirituality. In addition, respondents reported on spiritual care provision for their last three advanced cancer patients.
RESULTS
RESULTS
Seven hundred seventy responses were received from 14 countries (25% from countries with very high Human Development Index (HDI), 41% high, 29% medium, 5% low). Over 63% of respondents positively viewed the six applied information gathering items, while significantly more, over 76%, did so among respondents from very high HDI countries (p value range, p < 0.001 to p = 0.01). Even though only 42-45% overall were positively inclined toward praying with patients, respondents in lower HDI countries expressed more positive views (p < 0.001). In interaction analysis, HDI proved to be the single strongest factor associated with five of eight spiritual care examples (p < 0.001 for all). Significantly, the Middle Eastern respondents in our study actually provided actual spiritual care to 47% of their most recent advanced cancer patients, compared to only 27% in a parallel American study, with the key difference identified being HDI.
CONCLUSIONS
CONCLUSIONS
A country's development level is a key factor influencing attitudes toward spiritual care and its actual provision. Respondents from lower ranking HDI countries proved relatively more likely to provide spiritual care and to have positive attitudes toward praying with patients. In contrast, respondents from countries with higher HDI levels had relatively more positive attitudes toward spiritual care interventions that involved gathering information applicable to patient care.
Identifiants
pubmed: 30895381
doi: 10.1007/s00520-019-04733-0
pii: 10.1007/s00520-019-04733-0
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3601-3610Commentaires et corrections
Type : ErratumIn
Références
Puchalski C, Ferrell B, Virani R, Otis-Green S, Baird P, Bull J, Chochinov H, Handzo G, Nelson-Becker H, Prince-Paul M, Pugliese K, Sulmasy D (2009) Improving the quality of spiritual care as a dimension of palliative care: the report of the Consensus Conference. J Palliat Med 12:885–904
doi: 10.1089/jpm.2009.0142
pubmed: 19807235
National Consensus Project for Quality Palliative Care (2018) Clinical practice guidelines for quality palliative care, 4th edn. National Coalition for Hospice and Palliative Care, Richmond, VA https://www.nationalcoalitionhpc.org/ncp . Accessed 31 Dec 2018
Balboni MJ, Sullivan A, Amobi A, Phelps AC, Gorman DP, Zollfrank A, Peteet JR, Prigerson HG, Vanderweele TJ, Balboni TA (2013) Why is spiritual care infrequent at the end of life? Spiritual care perceptions among patients, nurses, and physicians and the role of training. J Clin Oncol 31:461–467
doi: 10.1200/JCO.2012.44.6443
pubmed: 23248245
Phelps AC, Lauderdale KE, Alcorn S, Dillinger J, Balboni MT, van Wert M, Vanderweele TJ, Balboni TA (2012) Addressing spirituality within the care of patients at the end of life: perspectives of patients with advanced cancer, oncologists, and oncology nurses. J Clin Oncol 30:2538–2544
doi: 10.1200/JCO.2011.40.3766
pubmed: 22614979
pmcid: 4827261
McCord G, Gilchrist VJ, Grossman SD, King BD, McCormick K, Oprandi AM, Schrop SL, Selius BA, Smucker DO, Weldy DL, Amorn M, Carter MA, Deak AJ, Hefzy H, Srivastava M (2004) Discussing spirituality with patients: a rational and ethical approach. Ann Fam Med 2:356–361
doi: 10.1370/afm.71
pubmed: 15335136
pmcid: 1466687
Best M, Butow P, Olver I (2015) Do patients want doctors to talk about spirituality? A systematic literature review. Patient Educ Couns 98:1320–1328
doi: 10.1016/j.pec.2015.04.017
pubmed: 26032908
Balboni MJ, Sullivan A, Enzinger AC, Epstein-Peterson ZD, Tseng YD, Mitchell C, Niska J, Zollfrank A, VanderWeele TJ, Balboni TA (2014) Nurse and physician barriers to spiritual care provision at the end of life. J Pain Symptom Manag 48:400–410
doi: 10.1016/j.jpainsymman.2013.09.020
Selby D, Seccaraccia D, Huth J, Kurppa K, Fitch M (2017) Patient versus health care provider perspectives on spirituality and spiritual care: the potential to miss the moment. Ann Palliat Med 6:143–152
doi: 10.21037/apm.2016.12.03
pubmed: 28249545
Taylor EJ, Mamier I, Ricci-Allegra P, Foith J (2017) Self-reported frequency of nurse-provided spiritual care. Appl Nurs Res 35:30–35
doi: 10.1016/j.apnr.2017.02.019
pubmed: 28532723
Smyre CL, Tak HJ, Dang AP, Curlin FA, Yoon JD (2018) Physicians’ opinions on engaging patients’ religious and spiritual concerns: a national survey. J Pain Symptom Manag 55:897–905
doi: 10.1016/j.jpainsymman.2017.10.015
Gallison BS, Xu Y, Jurgens CY, Boyle SM (2013) Acute care nurses’ spiritual care practices. J Holist Nurs 31:95–103
doi: 10.1177/0898010112464121
pubmed: 23175168
Tanyi RA, McKenzie M, Chapek C (2009) How family practice physicians, nurse practitioners, and physician assistants incorporate spiritual care in practice. J Am Acad Nurse Pract 21:690–697
doi: 10.1111/j.1745-7599.2009.00459.x
pubmed: 19958420
King SD, Dimmers MA, Langer S, Murphy PE (2013) Doctors’ attentiveness to the spirituality/religion of their patients in pediatric and oncology settings in the Northwest USA. J Health Care Chaplain 19:140–164
doi: 10.1080/08854726.2013.829692
pubmed: 24070435
Ramondetta LM, Sun C, Surbone A, Olver I, Ripamonti C, Konishi T, Baider L, Johnson J (2013) Surprising results regarding MASCC members’ beliefs about spiritual care. Support Care Cancer 21:2991–2998
doi: 10.1007/s00520-013-1863-y
pubmed: 23775154
pmcid: 3951207
Puchalski CM (2013) Integrating spirituality into patient care: an essential element of person-centered care. Pol Arch Med Wewn 123:491–497
pubmed: 24084250
Timmins F, Caldeira S (2017) Assessing the spiritual needs of patients. Nurs Stand 31:47–53
doi: 10.7748/ns.2017.e10312
pubmed: 28294021
Ramezani M, Ahmadi F, Mohammadi E, Kazemnejad A (2014) Spiritual care in nursing: a concept analysis. Int Nurs Rev 61:211–219
doi: 10.1111/inr.12099
pubmed: 24712404
Caldeira S, Timmins F (2017) Implementing spiritual care interventions. Nurs Stand 31:54–60
doi: 10.7748/ns.2017.e10313
Ronaldson S, Hayes L, Aggar C, Green J, Carey M (2017) Palliative care nurses’ spiritual caring interventions: a conceptual understanding. Int J Palliat Nurs 23:194–201
doi: 10.12968/ijpn.2017.23.4.194
pubmed: 28486071
Selman L, Siegert R, Harding R, Gysels M, Speck P, Higginson IJ (2011) A psychometric evaluation of measures of spirituality validated in culturally diverse palliative care populations. J Pain Symptom Manag 42:604–622
doi: 10.1016/j.jpainsymman.2011.01.015
Schultz M, Meged-Book T, Mashiach T, Bar-Sela G (2018) The cultural expression of spiritual distress in Israel. Support Care Cancer 26(9):3187–3193
doi: 10.1007/s00520-018-4177-2
pubmed: 29600415
Pew Research Center (2018). Americans are far more religious than adults in other wealthy nations. http://www.pewresearch.org/fact-tank/2018/07/31/americans-are-far-more-religious-than-adults-in-other-wealthy-nations/ . Accessed 31 Dec 2018
Ddungu H (2011) Palliative care: what approaches are suitable in developing countries? Br J Haematol 154(6):728–735
doi: 10.1111/j.1365-2141.2011.08764.x
pubmed: 21707576
http://hdr.undp.org/en/content/human-development-index-hdi . Accessed 27 Mar 2018
Puchalski CM, Vitillo R, Hull SK, Reller N (2014) Improving the spiritual dimension of whole person care: reaching national and international consensus. J Palliat Med 17:642–656
doi: 10.1089/jpm.2014.9427
pubmed: 24842136
pmcid: 4038982
Bar-Sela G, Schultz M, Elshamy K et al (2018) Training for awareness of one’s own spirituality: a key factor in overcoming barriers to the provision of spiritual care to advanced cancer patients by doctors and nurses. Palliat Support Care 6:1–8
Epstein-Peterson ZD, Sullivan AJ, Enzinger AC, Trevino KM, Zollfrank AA, Balboni MJ, VanderWeele TJ, Balboni TA (2015) Examining forms of spiritual care provided in the advanced cancer setting. Am J Hosp Palliat Care 32:750–757
doi: 10.1177/1049909114540318
pubmed: 25005589
Ronaldson S, Hayes L, Aggar C, Green J, Carey M (2012) Spirituality and spiritual caring: nurses’ perspectives and practice in palliative and acute care environments. J Clin Nurs 21:2126–2135
doi: 10.1111/j.1365-2702.2012.04180.x
pubmed: 22788554
Lundmark M (2006) Attitudes to spiritual care among nursing staff in a Swedish oncology clinic. J Clin Nurs 15:863–874
doi: 10.1111/j.1365-2702.2006.01189.x
pubmed: 16879379
Best M, Butow P, Olver I (2016) Palliative care specialists’ beliefs about spiritual care. Support Care Cancer 24:3295–3306
doi: 10.1007/s00520-016-3135-0
pubmed: 26945571
Zakaria Kiaei M, Salehi A, Moosazadeh Nasrabadi A, Whitehead D, Azmal M, Kalhor R, Shah Bahrami E (2015) Spirituality and spiritual care in Iran: nurses’ perceptions and barriers. Int Nurs Rev 62:584–592
doi: 10.1111/inr.12222
pubmed: 26572823
Melhem GAB, Zeilani RS, Zaqqout OA, Aljwad AI, Shawagfeh MQ, Al-Rahim MA (2016) Nurses’ perceptions of spirituality and spiritual care giving: a comparison study among all health care sectors in Jordan. Indian J Palliat Care 22:42–49
doi: 10.4103/0973-1075.173949
pubmed: 26962280
pmcid: 4768449
Ozbasaran F, Ergul S, Temel AB, Aslan GG, Coban A (2011) Turkish nurses’ perceptions of spirituality and spiritual care. J Clin Nurs 20:3102–3110
doi: 10.1111/j.1365-2702.2011.03778.x
pubmed: 21797943
Cruz JP, Alshammari F, Alotaibi KA, Colet PC (2017) Spirituality and spiritual care perspectives among baccalaureate nursing students in Saudi Arabia: a cross-sectional study. Nurse Educ Today 49:156–162
doi: 10.1016/j.nedt.2016.11.027
pubmed: 27974281
Musa AS (2017) Spiritual care intervention and spiritual well-being. J Holist Nurs 35:53–61
doi: 10.1177/0898010116644388
pubmed: 27105890
Iranmanesh S, Tirgari B, Cheraghi MA (2012) Developing and testing a spiritual care questionnaire in the Iranian context. J Relig Health 51:1104–1116
doi: 10.1007/s10943-011-9458-8
pubmed: 21258864
Abu-El-Noor N (2016) ICU nurses’ perceptions and practice of spiritual care at the end of life: implications for policy change. Online J Issues Nurs 21:6
pubmed: 27853263
Herlianita R, Yen M, Chen CH, Fetzer SJ, Lin EC (2018) Perception of spirituality and spiritual care among Muslim nurses in Indonesia. J Relig Health 57:762–773
doi: 10.1007/s10943-017-0437-6
pubmed: 28647910
Akgün Şahin Z, Kardaş Özdemir F (2016) Spirituality and spiritual care: a descriptive survey of nursing practices in Turkey. Contemp Nurse 52:454–461
doi: 10.1080/10376178.2016.1221324
pubmed: 27542095
Cadge W, Freese J, Christakis NA (2008) The provision of hospital chaplaincy in the United States: a national overview. South Med J 101:626–630
doi: 10.1097/SMJ.0b013e3181706856
pubmed: 18475239
Fitchett G, Rasinski K, Cadge W, Curlin FA (2009) Physicians’ experience and satisfaction with chaplains: a national survey. Arch Intern Med 169:1808–1810
doi: 10.1001/archinternmed.2009.308
pubmed: 19858441